Early Childhood Caries and Associated Risk Factors among Preschool Children in Southeast Iran

Homa Kamyabi; Parisa Kalantari; Azadeh Horri; Fereshteh Abbasi; Mahsa Kalantari

Authors

Homa Kamyabi
Parisa Kalantari
Azadeh Horri
Fereshteh Abbasi
Mahsa Kalantari

Keywords:

Dental Caries, Risk Factors, Dental Caries Susceptibility, Child

Abstract

Objective: To determine the prevalence of ECC and evaluate its association with possible risk factors in a group of preschool children in Kerman, Iran. Material and Methods: This cross-sectional study was conducted in Kerman on healthy preschool children (up to 6 years old) in June and October 2021. The children were randomly selected from kindergartens using a clustered sampling method, and their height, weight, dental caries, and occlusion were evaluated. Parents completed a questionnaire assessing feeding habits (breast/bottle feeding) and oral habits during the first two years of life. Data were analyzed by logistic regression and chi-squared test using SPSS 27 (p<0.05). Results: Of 530 examined children, 300 (56.6%) had ECC. Feeding habits (breast/bottle feeding) during the first two years of life, nail-biting, and age had a significant relationship with ECC (p<0.05). Although ECC in underweight and obese children was more prevalent than in children with normal weight, the relationship between ECC and body mass index (BMI) was not significant (p>0.05). Conclusion: The prevalence of ECC in preschool children was high. ECC's most important risk factors were age, nutritional habits, nail-biting, and underweight or obese children. Therefore, attention to feeding habits and correction of oral habits can reduce ECC.

References

Casamassimo PS, Fields Jr HW, McTigue DJ, Nowak A. Pediatric dentistry: Infancy through adolescence. 5th. ed. St. Louis, Mo.: Elsevier/Saunders; 2013.

Ghasempour M, Hajian K, Moazzezi Z, Zovvar M. Relationship between BMI and dental caries index in preschool children in Babol. J Isfahan Dent Sch 2011; 7(3):286. [In Persian].

Rodríguez MJ, Chaustre L, Calderon L, Saucedo V, Mejia LP. Early childhood caries and oral health-related quality of life among Colombian preschool children. Poster session presented at: 23rd Annual Conference of the International Society for Quality of Life Research; 2016; Copenhague, DNK. https://doi.org/10.13140/RG.2.2.18908.39044

Gao SS, Duangthip D, Lo ECM, Chu CH. Risk factors of early childhood caries among young children in Hong Kong: A cross-sectional study. J Clin Pediatr Dent 2018; 42(5):367-372. https://doi.org/10.17796/1053-4625-42.5.8

Ayhan H, Suskan E, Yildirim S. The effect of nursing or rampant caries on height, body weight and head circumference. J Clin Pediatr Dent 1996; 20(3):209-212.

Kowash MB, Alkhabuli J, Dafaalla S, Shah A, Khamis A. Early childhood caries and associated risk factors among preschool children in Ras Al-Khaimah, United Arab Emirates. Eur Arch Paediatr Dent 2017; 18(2):97-103. https://doi.org/10.1007/s40368-017-0278-8

Faezi M, Farhadi S, NikKerdar H. Correlation between DMFT, diet and social factors in primary school children of Tehran-Iran in 2009-2010. J Mash Dent Sch 2012; 36(2):141-148. [In Persian].

Jamshidi M, Naghibi Sistani MM, Boushehri N, Hamzeh M. Prevalence of early childhood caries and the related factors among 3-5- year-old children in Babol, Iran. J Dent Shiraz Univ Med Sci 2022; 23(2):137-143. https://doi.org/10.30476/DENTJODS.2021.88122.1313

Casanova-Rosado AJ, Medina-Solís CE, Casanova-Rosado JF, Vallejos-Sánchez AA, Minaya-Sánchez M, Mendoza-Rodríguez M, et al. Tooth brushing frequency in Mexican schoolchildren and associated socio-demographic, socioeconomic, and dental variables. Med Sci Monit Int J Clin Exp Med 2014; 20:938-944. https://doi.org/10.12659/MSM.890106

Amanlou M, Jafari S, Afzalianmand N, Bahrampour Omrany Z, Farsam H, Nabati F, et al. Association of saliva fluoride level and socioeconomic factors with dental caries in 3-6 years old children in Tehran-Iran. Iran J Pharm Res 2011; 10(1):159-166.

Popoola BO, Denloye OO, Iyun OI. Influence of parental socioeconomic status on caries prevalence among children seen at the university college hospital, Ibadan. Ann Ib Postgrad Med 2013; 11(2):81-86.

Prashanth S, Venkatesh B, Vivek D, Amitha H. Comparison of association of dental caries in relation with body mass index (BMI) in government and private school children. J Dent Sci Res 2011; 2(2):1-5.

Centers for Disease Control and Prevention. U.S. Department of Health & Human Services. Overweight & Obesity. Defining Adult Overweight and Obesity. Available from: https://www.lb7.uscourts.gov/documents/19-927URL1defining.pdf [Accessed on May 10, 2023].

World Health Organization. WHO Child Growth Standards. Standards. Available from: https://www.who.int/tools/child-growth-standards/standards [Accessed on May 10, 2023].

İnan-Eroğlu E, Özşin-Özler C, Erçim RE, Büyüktuncer Z, Uzamış-Tekçiçek M, Güçiz-Doğan B. Is diet quality associated with early childhood caries in preschool children? A descriptive study. Turk J Pediatr 2017; 59(5):537-547. https://doi.org/10.24953/turkjped.2017.05.006

Pinto A, Kim S, Wadenya R, Rosenberg H. Is there an association between weight and dental caries among pediatric patients in an urban dental school? A correlation study. J Dent Educ 2007; 71(11):1435-1440.

Hong L, Ahmed A, McCunniff M, Overman P, Mathew M. Obesity and dental caries in children aged 2‐6 years in the United States: National health and nutrition examination survey 1999‐2002. J Public Health Dent 2008; 68(4):227-233. https://doi.org/10.1111/j.1752-7325.2008.00083.x

Manohar N, Hayen A, Fahey P, Arora A. Obesity and dental caries in early childhood: A systematic review and meta‐analyses. Obes Rev 2020; 21(3):e12960. https://doi.org/10.1111/obr.12960

Kurian J, Renganathan S, Gurusamy K, Shivashankarappa PG, Mohandoss S. Association between early childhood caries and age and gender specific height, weight and mid upper arm circumference of school children in puducherry-“A comparative study”. EMS Reports 2016; 2(1): 13-7. https://doi.org/10.5530/BEMS.2016.1.3

Vania A, Parisella V, Capasso F, Di Tanna G, Vestri A, Ferrari M, et al. Early childhood caries underweight or overweight, that is the question. Eur J Paediatr Dent 2011; 12(4):231-235.

Krishnamurthy K, Bangar B, Raja A, Gujaral G, Randive S, Vaishnav K, et al. Body mass index and its impact on dental caries. Ann Trop Med Public Health 2017; 10:810-815. https://doi.org/10.4103/ATMPH.ATMPH_141_17

Sadeghi M, Alizadeh F. Association between dental caries and body mass index-for-age among 6-11-year-old children in Isfahan in 2007. J Dent Res Dent Clin Dent Prospects 2007; 1(3):119-124. https://doi.org/10.5681/joddd.2007.021

Bafti LS, Hashemipour MA, Poureslami H, Hoseinian Z. Relationship between body mass index and tooth decay in a population of 3–6-year-old children in Iran. Int J Dent 2015; 2015:126530. https://doi.org/10.1155/2015/126530

Willerhausen B, Blettner M, Kasaj A, Hohenfellner K. Association between body mass index and dental health in 1,290 children of elementary schools in a German city. Clin Oral Investig 2007; 11(3):195-200. https://doi.org/10.1007/s00784-007-0103-6

Sheller B, Churchill SS, Williams BJ, Davidson B. Body mass index of children with severe early childhood caries. Pediatr Dent 2009; 31(3):216-21.

Sadeghi M, Roberts M. The relationship between BMI-for-age (BMI-%) and dmft index of 6-year-old children in Rafsanjan, Iran. Int J Dent Oral Health 2016; 2(2):51. https://doi.org/10.16966/2378-7090.175

Kaushal J, Vivek A, Ruchi A, Subha D. A study between malnutrition associated with malocclusion, dental caries, enamel hypoplasia and salivary gland flow in mixed dentition stage – An in vivo study. OSR J Dent Med Sci 2017; 16(2):68-71. https://doi.org/10.9790/0853-1602066871

Sembiring LS, Sjahruddin LD, Yusra Y. Correlation between body mass index with anterior crowding and enamel hypoplasia of sundanese children in Bandung. Sci Dent J 2020; 4(2):59-63. https://doi.org/10.4103/SDJ.SDJ_1_20

Al-Refeidi E, Gammash M, Mohammed SH, Syed S, Togoo RA. Crowding, spacing and closed dentition in primary dentition and its relationship with BMI among Saudi children. Sch J Dent Sci 2016; 3(12):312-316. https://doi.org/10.21276/sjds.2016.3.12.1

Luzzi V, Fabbrizi M, Coloni C, Mastrantoni C, Mirra C, Bossù M, et al. Experience of dental caries and its effects on early dental occlusion: A descriptive study. Ann Stomatol 2011; 2(1-2):13-18.

Zou J, Meng M, Law CS, Rao Y, Zhou X. Common dental diseases in children and malocclusion. Int J Oral Sci 2018; 10(1):7. https://doi.org/10.1038/s41368-018-0012-3

Jasim ES, Garma NM, Nahidh M. The association between malocclusion and nutritional status among 9-11 years old children. Iraqi Orthod J 2016; 12(1):13-19.

Moimaz SAS, Garbin AJÍ, Lima AMC, Lolli LF, Saliba O, Garbin CAAS. Longitudinal study of habits leading to malocclusion development in childhood. BMC Oral Health 2014; 14:96. https://doi.org/10.1186/1472-6831-14-96

Majorana A, Bardellini E, Amadori F, Conti G, Polimeni A. Timetable for oral prevention in childhood–developing dentition and oral habits: A current opinion. Prog Orthod 2015; 16:39. https://doi.org/10.1186/s40510-015-0107-8

Khan SH, Hasan MN, Anjum S, Rafique T. Is there is any relationship between malocclusion and nutritional pattern of children. Updat Dent Coll J 2014; 4(2):9-13. https://doi.org/10.3329/updcj.v4i2.24041

Hohman EE, Savage JS, Birch LL, Beiler JS, Paul IM. Pacifier use and early life weight outcomes in the intervention nurses start infants growing on healthy trajectories study. Child Obes 2018; 14(1):58-66. https://doi.org/10.1089/chi.2017.0177